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BLAES Emironmentalnlana6ement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 Forth Third Avenue <br /> Phoenix Arizona 85005 Well No MW-SC <br /> 602 728-0707 <br /> Well Type ■ Monitor ❑ Remedial VE A5 <br /> Site ID U Haul #709 50 ❑ Other <br /> Project No 002 70950 04 Well Material ■ PVC ❑ St Steel <br /> Recorded By _Greg Coffin ❑ Other <br /> _ WELL PURGING <br /> Purge Volume Purge Date <7,ll Purge Method <br /> Casing Diameter(D) in Inches ❑ Bailer Type <br /> 0 2 Inch ❑ 4 inch [] 6 inch ❑ Other <br /> ❑ Submersible E] Submersible Whale <br /> Total Depth of Casing JD in feet 90 ❑ Other <br /> Water Level Depth(WL in feet BTOC) SU `raSS Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> El Near Bottom El Near Top El Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (STOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 70 <br /> 2 to 90 <br /> c <br /> 90 — 57J ng X 2 X 3 X 0 0409 = t Z L7 gallons <br /> TD(feet) WL D(inches) 4 Vols Calculated Purge Volume <br />` Pump Time Purge Rate Actual Purge Volume <br /> Start 0 3 J Stop f D cZ Time Elapsed Initial gpm _ � gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DO% DO <br /> (m /L) Cond 1 Cond 2 <br /> Salinity Temp PH Notes <br /> cn Pursed (uhos/cm) (um <br /> � f g U —6'1-7 '13 v_ - zi ( G <br /> �, �� (7 � Y� r'�' C? Zl ju _ �(cFr - nip t r� J / <br /> Zl <br /> 1 <br /> Observations During Purging(well Condition Turbidity Color Odor etc 4--L , G <br /> I Purge Water Storage/Disposal [] Drum(s) Number [] Storm Sewer ❑ Sanitary Sewer <br /> Other / Comments Purge water contained m on site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By Sampling Date t,- 03 Sampling Time /5-10 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) _ 70 <br />' P<,aailer Type __ 3' A ry❑l Same as Above <br /> [:1 Submersible ❑ Whale icGrab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> Other Notes <br />